Individual
KIMBERLY E HARTNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3515 E FLETCHER AVE, MDC 14, TAMPA, FL 33613-4702
(813) 974-8900
(813) 974-3223
Mailing address
2995 DREW ST, CLEARWATER, FL 33759-3012
(727) 315-7496
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME102485
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003745200
—
FL
01
—
147EE
BLUE CROSS BLUE SHIELD
FL
Enumeration date
03/18/2008
Last updated
02/01/2024
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